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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 1611142 | 00021601 | 2021 | 1248442 | 5 | 15 | 30 | 2021-09-08 00:56:48 | 1248442 | |
| 1611141 | 00021601 | 2021 | 545278 | 2 | 0 | 0 | 2021-09-08 00:56:48 | 545278 | |
| 1611140 | 00021601 | 2021 | 861663 | 2 | 0 | 0 | 2021-09-08 00:56:48 | 861663 | |
| 1611139 | 00021601 | 2021 | 861661 | 2 | 0 | 0 | 2021-09-08 00:56:48 | 861661 | |
| 1611138 | 00021601 | 2021 | 861659 | 2 | 0 | 0 | 2021-09-08 00:56:48 | 861659 | |
| 1611137 | 00021601 | 2021 | 644304 | 5 | 0 | 0 | 2021-09-08 00:56:48 | 644304 | |
| 1611136 | 00021601 | 2021 | 2178792 | 4 | 0 | 0 | 2021-09-08 00:56:48 | 2178792 | |
| 1611135 | 00021601 | 2021 | 1989117 | 4 | 0 | 0 | 2021-09-08 00:56:48 | 1989117 | |
| 1611134 | 00021601 | 2021 | 1648772 | 5 | 0 | 0 | 2021-09-08 00:56:48 | 1648772 | |
| 1611133 | 00021601 | 2021 | 1364494 | 5 | 0 | 0 | 2021-09-08 00:56:48 | 1364494 |